Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

MPs question lack of accountability for Hinchingbrooke 'experiment'

  • 1 Comment

Oversight of the contract for NHS’s only privately run hospital was “poor and inadequate” and ‘no one has been held accountable for the consequences’, MPs have said.

The Commons public accounts committee today published a update report into Hinchingbrooke Health Care NHS Trust.

It followis the announcement earlier this year by Circle, the firm managing the hospital trust, that it was withdrawing early from its 10 year contract.

The report described the franchise deal an “innovative, but ultimately unsuccessful, experiment” and stressed the committee’s concern that “none of those involved in the decisions has been properly held to account”.

The Department of Health “did not put sufficient controls in place to monitor and learn from this innovation”, said the committee, which is chaired by Labour MP Margaret Hodge.

Accountability and responsibility for the contact was “fragmented and dispersed across the health system”, the committee’s report added.

“While this was an innovative – but ultimately unsuccessful – experiment, we are concerned that none of those involved in the decisions has been properly held to account.”

Margaret Hodge

Although the DH’s director of general finance Richard Douglas “accepted that he was ultimately accountable for approving the contract”, the report pointed out that “officials in the [East of England] Strategic Health Authority who developed the franchise arrangement have not been held to account”.

The SHA’s former chief executive, Sir Neil Mckay, “received a generous redundancy package and has since taken up another role in the health service”.

The NHS Trust Develop Authority also came under fire for “not [overseeing] this high risk venture effectively”.

The trust itself “had unusual governance arrangements” and “neither Circle’s management nor the trust board accepted responsibility for holding the trust’s management to account”, the report said.

The Care Quality Commission had raised concerns about the Hinchingbrooke’s governance structure following its inspection of the trust, which it rated “inadequate” in January.

The committee’s report criticised the CQC for not giving a “satisfactory explanation as to why the inspection rating was so out of line with previous assessments of the quality of care at the hospital”. The trust had been assessed as low risk by CQC’s own intelligent monitoring system prior to its inspection.

Cambridgeshire and Peterborough Clinical Commissioning Group had “limited resources” to monitor the trust’s performance, believing it to be “reasonably good” with “some areas of concern”.

The NHS Trust Develop Authority also “monitored some aspects of care quality” and considered that “on the whole” the trust’s performance “did not indicate a particular problem”.

Among its recommendations, the MPs called for the DH and NHS Trust Develop Authority to “ensure that strong governance and clear accountabilities are put in place for future novel or high risk ventures” with “strong and effective monitoring”.

It also said that at the start of the next parliament the DH should report back on lessons learnt from the franchise experiment “which will inform future protocols in dealing with private providers”.

Hinchingbrooke Hospital

Hinchingbrooke Hospital

  • 1 Comment

Readers' comments (1)

  • And yet again when a tory privatisation goes wrong the public purse has to pick up the tab!!!

    These circle vultures are already going for another privatisation in staffordshire for cancer services

    and when they carnt make a profit...yep you guessed it walk away and the public will have to pick up the pieces...unbelivable

    Unsuitable or offensive? Report this comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.

Related Jobs